| NPI | 1356433940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209004590) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: IL 309001889) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2021-09-13 |